11D0941884 CLIA NUMBER - ALPHA INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 11D0941884
  • Facility Name: ALPHA INTERNAL MEDICINE
  • Facility Address: 745 SOUTH GLYNN STREET
    FAYETTEVILLE, GA
    ZIP 30214
  • Facility Phone: (770) 719-5490
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: BETSY HORTON
  • NPI Number: 1083622849
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0941884
LAB Type Physician Office
Facility Name ALPHA INTERNAL MEDICINE
Street 745 SOUTH GLYNN STREET
City FAYETTEVILLE
State GA
ZIP 30214
Phone 7707195490
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Physician Office
Lab Director BETSY HORTON

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This page was last updated on: 5/18/2026